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dispersal of ticks and tick borne diseases by birds - Lista fuglestasjon

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small fraction <strong>of</strong> these would be<br />

transported from TBE-endemic areas.<br />

TBE is maintained in nature <strong>by</strong> a fragile<br />

enzootic transmission cycle (R<strong>and</strong>olph<br />

<strong>and</strong> Rogers, 2000), when larvae contract<br />

the virus <strong>by</strong> co-feeding with TBEinfected<br />

nymphs on small rodents. The<br />

transovarial transmission <strong>of</strong> TBEV is<br />

low: only about 2.4-7.8% <strong>of</strong> larvae born<br />

from an infected female are themselves<br />

infected (Danielová <strong>and</strong> Holubová,<br />

1991; R<strong>and</strong>olph, 2008). Therefore,<br />

questing larvae <strong>of</strong> I. ricinus rarely carry<br />

TBEV. Considering the large number <strong>of</strong><br />

larvae imported, there is a possibility<br />

that <strong>birds</strong> can import TBEV-infected <strong>tick</strong><br />

larvae, which, after moulting to nymphs,<br />

could spread the virus further to local<br />

larva. Furthermore, infected nymphs<br />

imported to Norway could mature to the<br />

adult stage, <strong>and</strong> <strong>by</strong> transovarial<br />

transmission give birth to TBEVinfected<br />

larvae. Therefore, it is a small<br />

possibility that <strong>birds</strong> could spread<br />

TBEV, <strong>and</strong> it is difficult to imagine any<br />

other way the virus could have reached<br />

the southern Norwegian coast. Although<br />

the enzootic transmission cyclus is<br />

fragile, a climate model predicting the<br />

distribution <strong>of</strong> TBE (R<strong>and</strong>olph 2001)<br />

indicated favourable conditions at the<br />

Agder coast. Therefore, in principle, one<br />

single TBEV-infected <strong>tick</strong> could<br />

introduce the disease. The next question<br />

would be: why has this not happened<br />

before? TBE may well have been<br />

unrecognised in Norway for many years,<br />

<strong>and</strong> it may have died out because <strong>of</strong> the<br />

fragile enzootic transmission cyclus <strong>and</strong><br />

been reintroduced <strong>by</strong> <strong>birds</strong>, or it may<br />

have been introduced during the last<br />

decades because TBEV is increasing in<br />

Europe. Traavik et al. (1978) reported<br />

TBEV in <strong><strong>tick</strong>s</strong> from Western Norway,<br />

but this may have been LIV, as the<br />

identification was made <strong>by</strong><br />

immunological methods. Traavik (1979)<br />

also found TBEV-antibodies in 19.6% <strong>of</strong><br />

humans living in areas where I. ricinus<br />

occurs in Western Norway, but this may<br />

be due to cross-reacting antibodies. One<br />

Norwegian woman (a patient <strong>of</strong> Gunnar<br />

Hasle) had serous meningitis when she<br />

39<br />

lived in Risør (at the coast <strong>of</strong> East Agder,<br />

Norway) in 1987. At the time she had not<br />

been in any known area where TBE occurs,<br />

but Risør is at the coast <strong>of</strong> Aust Agder, near<br />

areas where TBE has later been found, <strong>and</strong><br />

where LI has not been reported. She was<br />

examined at Ullevål University hospital for<br />

sequelae <strong>and</strong> was tested for TBE-antibodies<br />

in 2001. TBEV IgG was strongly positive.<br />

She had not had any other meningitis or<br />

encephalitis since 1987, <strong>and</strong> had not been in<br />

any area where TBE is known to occur. This<br />

may be the first case <strong>of</strong> TBE in Norway,<br />

although the first <strong>of</strong>ficially notified case was<br />

in 1998. The role <strong>of</strong> <strong>birds</strong> in the<br />

epidemiology <strong>of</strong> TBE is still unknown. It has<br />

been isolated from I. uriae <strong>and</strong> tissue from<br />

guillemot (Uria aalge) in the Murmansk area<br />

(Chastel 1988). LI, which is closely related to<br />

TBE <strong>and</strong> may cause disease in humans<br />

(Davidson et al., 1991), has been found in<br />

Western Norway (Stuen 1996). Nucleotide<br />

sequence analyses indicate that LIV has been<br />

recently transported to Norway from the<br />

British Isles (Gao et al., 11993).)<br />

An alternative explanation to transport <strong>by</strong><br />

<strong>birds</strong> is that TBEV has existed in the<br />

Sc<strong>and</strong>inavian peninsula since Sweden <strong>and</strong><br />

Denmark were connected 8-9,000 years ago<br />

(Björck, 1995) <strong>and</strong> that the virus has lived<br />

unrecognised in a zoonotic cycle.<br />

Phylogenetic analyses indicate time points <strong>of</strong><br />

divergence <strong>of</strong> W-TBEV <strong>and</strong> FE-TBEV <strong>of</strong><br />

400 <strong>and</strong> 600 years before present (Zanotto,<br />

1996; Haglund, 2000), which indicates a<br />

much more recent exchange <strong>of</strong> genetic<br />

material across the sea. The TBEV strain<br />

found in Norway is phylogenetically closely<br />

related to the strains found in northern<br />

continental Europe (Skarpaas et al., 2006).<br />

This study has not proven that <strong>birds</strong> have<br />

introduced TBEV to Norway, but it can be<br />

concluded that it is possible that such<br />

transport has happened <strong>and</strong> that this is the<br />

most parsimonious explanation for the<br />

existence <strong>of</strong> TBEV north <strong>of</strong> the Skagerrak<br />

Sea.<br />

Originally, the blood sampling from dairy<br />

cows (Paper IV) was intended to be a study<br />

<strong>of</strong> mapping the distribution <strong>of</strong> TBEV <strong>by</strong>

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